IPACHTE# /4— 375c sa Harnett County Department of Public Health 29093
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
� ��J PROPERTY LOCATION: G
ISSUED TO c�Jr Yd +P HY*� /3JXX,5 SUBDIVISION LOT #
NEW G✓� REPAIR 11 EXPANSION ❑
Type of Structure:
Proposed Wastewater System Type:
Projected Daily Flow: GPD
Number of bedrooms:Number of Occupants: max
Basement ❑Yes / No
Site Improvements required prior to Construction Authorization Issuance:
Pump Required: es ❑ No ❑ May be required biujjl on final location and elevations of facilities
Type of Water Supply: ❑ Community ❑ Pubt 2 Well Distance from well 146 feet
Permit conditions:
Permit valid for.
2live years
❑ No expiration
Authorized State Date: //— 9 — Ie— SEE ATTACHED SITE SKETCH
The issuance of this permit bya th Department in no way guarantees the issuance of other permits. The permit holder is responsible for thetking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if i e site plan, plat or the intended use Manges. The Improvement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the laws and Rules for Sewage Treatment and Disposal and to conditions of this permit..
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1958, .1952, .1954, .1955, .1956, AST, .1958. and .1959 are incorporated by references into this permit and shall he met. Systems shall be installed in accordance
with the attached system layout.
ISSUED TOk:PROPERTY LOCATION:%3 SS /4".1
Facility Type: cS
SUBDIVISION LOT #
New ❑ Expansion ❑ Repair
Basement? ❑ Yes No Basement Fixtures? ❑ Yes No
** _
Type of Wastewater System **> ti+,n R.a 2S' (Initial) Wastewater Flow: 3lo GPD
(See note below, if applicable ❑)
2-5m;tv KaV— (Repair)
Installation Requirements/Conditions V Number of trenches
Septic Tank SizeU 0 0 gallons Exact length of each trench /20 feet Trench Spacing: acin : Feet on Center
Pump Tank Size 00 6 gallons Trenches shall be installed on cont ur at a Soil Cover. inches
Pump Requirements: ft. TDH vs.
Conditions:
Maximum Trench Depth of: N— inches
(Trench bottoms shall be level to +/.I/4"
in all directions)
GPM
(Maximum soil cover shall not exceed
36" above the trench bottom)
Ginches below pipe
Aggregate Depth: 2i inches above pipe
12— inches total
WATER LINES (INCLUDING IRRIGATION) MUST BE IOFT. FROM ANY PART OF SEPTIC SYSTEM OR REPAIR AREA.
NO UTILITIES ALLOWED IN INITIAL OR REPAIR DRAIN FIELD AREA.
If applicable /understand the r}rtem type spedfed it different from the type spedfed on the app/ication. / arcept the specifeat ions o/ this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocation if the site plan, plat or the intended use changes. The Construction Authorization shall not be transferred when Mere is a change in ownership of the site. This
7==
huMonzabon Is subject to compliance with she provisions of the laws and Rules for Sewage Treatment and Disposal and in the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized Stat enS Date:
�yfaMsiruction Authorization Expiration Date:
HTE#'b -S'-311 � (J
Harnett County
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Permit # 2`1 DGj 3
Depailnient of Public Health
Site Sketch
PROPERTY
SUBDIVISION f , 3S u�>OTT% I /J
ISSUED T0:
Authorized State etre �_ /" (,w� S// ''2-aqv-"� Date: I —
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Department of Environment, Health and Natural Resources
Division of Environmental Health
On -Site Wastewater Section
SOIL/SITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
S; JW4vre IaoNe
Owner:la. l3teo)(oA Applicant: 8. i 4 erS
Address: ul (. Qnk: a6 Ch. ux, Date Evaluated:
Proposed Facility: 3 6R No.56 Design Flow (.1949): 34c pl/LA
Location of Site: N a rNEE C4. Property Recorded: wes
Water Supply. ❑ Public[] Individual (a" Well
Evaluation Method:[ Auger Boring ❑ Pit ❑ Cut
Type of Wastewater. 0 Sewage ❑ Industrial Process
Sheet:
.1940
Landscape
Position/
Slope%
Property ID:
SOH. MORPHOLOGY
.1941
Lot
Profile
Class
& LIAR
File #:
.1941
Consistence
mineralogy
Code:
.1943
Soil
Property Size: 0.4G
❑ Spring ❑ Other
❑ Mixed
P
R
O
F
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(in.)
SOH. MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
Profile
Class
& LIAR
.1941
Structure/
Texture
.1941
Consistence
mineralogy
.1942
Soil
Wetness/
Color
.1943
Soil
.1956
Sapm
Class
.1944
Restr
Horiz
R;bx
aQ
PS
18 lL
SA4S 5'•L
t , s 4 Sf
5� yJZ C Z(o•.n
-
b
416i0
p- G
Gt.�
)G Z�
50/5',L
F;/6f 6-•
Description Initial Repair System Other Factors (.1946): ,a. v -
System I Site Classification (.1948): 5.t44bir
j vwulableS ce .1945) Evaluated By: AnJrr-' C„r�'rt r. Mwnl.�4t
Smtern T s u RE RS
26 ite,d '/ Others Present:
Site LTAR O> 3 CO -3